中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
16期
1-4
,共4页
腹膜透析,持续不卧床%营养状况%腹膜转运
腹膜透析,持續不臥床%營養狀況%腹膜轉運
복막투석,지속불와상%영양상황%복막전운
Peritoneal dialysis,continuous ambulatory%Nutritional status%Peritoneal transport
目的 了解持续性不卧床腹膜透析(CAPD)患者腹膜转运特性对营养状况的影响.方法 对73例CAPD患者进行横断面研究,根据腹膜平衡试验(PET)结果分为高转运组43例与低转运组30例,根据主观综合性营养评估法(SGA)评分对患者营养状况进行评估,同时对两组白蛋白(ALB)、总蛋白(TP)、血红蛋白(Hb)、原发病、年龄、体重、透析时间、超滤量、血尿素氮(BUN)、血肌酐(SCr)等进行比较.结果 两组患者年龄、体重、超滤量、收缩压、舒张压、Hb、SGA评分、BUN、SCr 比较差异无统计学意义(P＞0.05)；高转运组透析时间(14.35±13.88)个月,原发病为糖尿病肾病(DN) 16例、非DN 27例,TP(64.98±7.59)g/L,ALB(34.61±5.43) g/L,与低转运组的(24.20±19.62)个月、12例和18例、(68.73±6.96) g/L、(38.71±3.82) g/L比较差异有统计学意义(P＜0.05).结论 不同腹膜转运特性CAPD患者营养状况存在明显差异,CAPD高转运患者营养状况较差.
目的 瞭解持續性不臥床腹膜透析(CAPD)患者腹膜轉運特性對營養狀況的影響.方法 對73例CAPD患者進行橫斷麵研究,根據腹膜平衡試驗(PET)結果分為高轉運組43例與低轉運組30例,根據主觀綜閤性營養評估法(SGA)評分對患者營養狀況進行評估,同時對兩組白蛋白(ALB)、總蛋白(TP)、血紅蛋白(Hb)、原髮病、年齡、體重、透析時間、超濾量、血尿素氮(BUN)、血肌酐(SCr)等進行比較.結果 兩組患者年齡、體重、超濾量、收縮壓、舒張壓、Hb、SGA評分、BUN、SCr 比較差異無統計學意義(P＞0.05)；高轉運組透析時間(14.35±13.88)箇月,原髮病為糖尿病腎病(DN) 16例、非DN 27例,TP(64.98±7.59)g/L,ALB(34.61±5.43) g/L,與低轉運組的(24.20±19.62)箇月、12例和18例、(68.73±6.96) g/L、(38.71±3.82) g/L比較差異有統計學意義(P＜0.05).結論 不同腹膜轉運特性CAPD患者營養狀況存在明顯差異,CAPD高轉運患者營養狀況較差.
목적 료해지속성불와상복막투석(CAPD)환자복막전운특성대영양상황적영향.방법 대73례CAPD환자진행횡단면연구,근거복막평형시험(PET)결과분위고전운조43례여저전운조30례,근거주관종합성영양평고법(SGA)평분대환자영양상황진행평고,동시대량조백단백(ALB)、총단백(TP)、혈홍단백(Hb)、원발병、년령、체중、투석시간、초려량、혈뇨소담(BUN)、혈기항(SCr)등진행비교.결과 량조환자년령、체중、초려량、수축압、서장압、Hb、SGA평분、BUN、SCr 비교차이무통계학의의(P＞0.05)；고전운조투석시간(14.35±13.88)개월,원발병위당뇨병신병(DN) 16례、비DN 27례,TP(64.98±7.59)g/L,ALB(34.61±5.43) g/L,여저전운조적(24.20±19.62)개월、12례화18례、(68.73±6.96) g/L、(38.71±3.82) g/L비교차이유통계학의의(P＜0.05).결론 불동복막전운특성CAPD환자영양상황존재명현차이,CAPD고전운환자영양상황교차.
Objective To explore the influence of peritoneal transport characteristics on the nutritional status of patients with continuous ambulatory peritoneal dialysis(CAPD).Methods Seventy-three CAPD patients were involved in this cross-sectional study.According to the results of peritoneal equilibration test(PET),the patients were divided into high transport group with 43 cases and low transport group with 30 cases.Nutritional status was evaluated with the subjective global assessment (SGA) score and the differences were analyzed between two groups in the albumin (ALB),total protein (TP),hemoglobin (Hb),primary disease,age,weight,dialysis time,ultrafiltration,blood urea nitrogen ( BUN ),serum creatinine (SCr) and so on.Results There was no difference between two groups in age,weight,ultrafiltration,systolic blood pressure,diastolic blood pressure,Hb,SGA score,BUN and SCr (P＞0.05).However,the dialysis time,the case number of diabetic nephropathy (DN) as original disease,the case number of non DN as original disease,TP and ALB between high transport group and low transport group had significant differences [(14.35±13.88) months vs.(24.20 ±19.62) months,16 cases vs.12 cases,27 cases vs.18 cases,( 64.98±7.59 ) g/L vs.( 68.73 ± 6.96 ) g/L,( 34.61 ± 5.43) g/L vs.( 38.71±3.82 ) g/L,P ＜ 0.05 ].Conclusions The nutritional status of CAPD patients with different transport characteristics have significant differences.CAPD patients with high transport characteristics are complicated with worse nutritional status,compared with those patients with low transport characteristics.
